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Padma Lakshmi’s Smile: A Recipe for Beauty

Before she began hosting the long-running TV competition Top Chef, Padma Lakshmi was a well-known model and successful cookbook author. (Appropriately, she is said to have been “discovered” by a modeling agent while sitting in a café in Madrid.) Yet the Indian-born beauty’s striking look — at once exotic and familiar — doesn’t come from any cookie-cutter mold.

So when Lakshmi had cosmetic work done on her teeth, early in her career, her dentist didn’t use a cookie-cutter approach either: Instead, her smile was carefully designed, using small amounts of bonding material to brighten her teeth and to bring their shape and spacing into harmony with her facial features.

Dentistry by Design What exactly is smile design — and what could it do for you? Essentially, it’s the process of evaluating your smile in concert with the appearance of your entire face, and visualizing the changes — some dramatic and some subtle — that will make it really shine. Some aspects we consider include the face’s shape, the proportion or “balance” of facial features, the complexion, eye and lip color and form, and the overall dimensions of the smile.

Based on dental aesthetics and clinical experience, we will probably have a number of suggestions to make on how you can improve your smile. Your input will also be very important; while some individuals prefer perfectly even teeth and a sparkling “Hollywood white” smile, others are looking for a result that’s more in keeping with a “natural” look: slight irregularities in tooth shape, spacing, and even color.

There’s no right or wrong answer here: Having a “perfect” smile means what’s perfect for you, so it’s very important for dentists and patients to communicate openly during the smile design process. But sometimes, words alone just aren’t enough to convey the subtle dimensions of beauty.

The Trial Smile Fortunately, it’s now possible to preview your “perfect” smile using a number of different techniques. Advances in computer imaging make this the first step in previewing your new smile — you can see the changes before a single tooth is touched! Still, many people find that having a more concrete picture is helpful. The next step is to make a 3-D mock-up the proposed dental work on an actual model of your mouth. That way, you can see a physical representation of the final results — and even turn it around and hold it in your hands.

There’s still one more way to really experience the difference cosmetic treatments can make without committing to a permanent change: the provisional restoration. Here, tooth-colored bonding material and other techniques are used to actually create the new smile — temporarily. This gives you time to “live with it,” and see if the proposed changes work for you. If everything goes well with the provisional work, the permanent restoration is guaranteed to please.

Unusual situation, needed repairs to an implant. Dr. Miralez and the whole staff went out of their way to be sure to address some issues which could have been dangerous if left untreated. This practice always endeavors to provide the best for their patients.

—Charles T.

My experience was great. They were very nice and gentle and they would also let you watch T.V. while they work on you. Also, they would always greet you with a smile.

—Adrien P.

I am completely happy with my experience. Even though I have moved to Carmel, I continue to drive to Fresno because of the friendly staff and excellent service.

—Kim B.

A friendly and enjoyable experience. This office is the best. They strive to provide something beyond ordinary and elevate it all to extraordinary.

—Jesse T.

I refer everyone I meet who is looking for a dentist. Great staff and always so courteous. I appreciate all that you do.

—Madeline M.

It was very refreshing to have the treatment explained along with a comprehensive estimate provided.